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HomeMy WebLinkAboutKONE INC - INSURANCE CERTIFICATEACORD. CERTIFICATE OF LIABILITY INSURANCE ° 02/14/2005' PRODUCER Serial # 100387 AON RISK SERVICES, INC. OF ILLINOIS THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1000 NORTH MILWAUKEE AVENUE ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. GLENVIEW , IL 60025 DBA AON RISK INSURANCE SERVICES OF ILLINOIS, CA LICENSE NO. INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: ILLINOIS UNION INSURANCE COMPANY KONE INC. INSURER B: ACE AMERICAN INSURANCE COMPANY ONE KONE COURT MOLINE, IL 61265 ATTN: LAW DEPARTMENT FAX#: 309-743-5800 INSURER C: AMERICAN INS CO OF NORTH AMERICA INSURER INDEMNITY INS CO OF NORTH AMERICA INSURER : : E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR JAISRW TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE ATE MM/ DIYY POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 10,000,000 DAMAGE TORENTED PREMISE Ea occurance $ 1 000,1)00 A X COMMERCIAL GENERAL LIABILITY HDOG21711603 01/01/2005 01/01/2006 MED EXP (Anyone person) $ 0 CLAIMS MADE EK OCCUR PERSONAL &ADV INJURY $ 10,000,000 GENERAL AGGREGATE $ 10,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 10,000,000 F]POLICY0 PEOTED LOC B AUTOMOBILE LIABILITY ANY AUTO ISAH 08017335 01/01/2005 01/01/2006 COMBINED SINGLE LIMIT (Ea accident) $ 2,000,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR CLAIMS MADE $ DEDUCTIBLE $ RETENTION $ WORKER'S COMPENSATION AND WCUC44174455 (OH) 01/01/2005 01/01/2006 X TORYSTATUS OER C D A EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? WLRC44167724 (ADS) WLRC44174418 (CA) 01/01/2005 01/0112005 01/01/2006 01/01/2006 ELEACHACCIDENT $ 1,000,000 EL DISEASE - EA EMPLOYEE $ 1,000,000 A If yes, describe under SPECIAL PROVISIONS below SCFC44174431 I �) 01/01/2005 01/01/2006 EL DISEASE - POLICY LIMIT $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSfVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CITY OF FORT COLLINS, CO VARIOUS LOCATIONS KONE # 40052097 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION CITY OF FORT COLLINS, CO PO BOX 580 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL FORT COLLINS, CO 80522 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZZEDD REPRESENTATIVE OF AON RISK SERVICES, INC. OF IL ACORD 25 (2001/08) © ACORD CORPORATION 1988 U:/FMPR01 /KON EINC/KON E/CERTPROS2005. FP5 Office of the General Counsel Mz:M KONE Inc. September 11, 2003 One KONE Court Moline, IL 61265 Mr. Jim Hume Tel 309-743-5751 City of Fort Collins, Colorado PO BOX 580 Fax 309-743-5800 Fort Collins, CO 80522 tisa.digney@kone.com LETTER OF TRANSMITTAL SUBJECT: Various Locations Fort Collins, CO KONE Inc. 440052097 WE ARE TRANSMITTING THE FOLLOWING: COPIES DESCRIPTION PURPOSE 1 Owner's and Contractor's Protective Liability Policy Your Use REMARKS: Mr. Hume, Per my transmittal yesterday, I am forwarding the Owner's and Contractor's Protective Liability Policy as I received it today from our insurance carrier. Please email or call me with any questions you may have. Thank you! BY: Lisa Digney Contract Analyst ACORD, CERTIFICATE OF INSURM CE DATE IMWDD/YY) I PRODUCER Serial # THIS CERTIFICATE IS ISSUED AS A NATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE AON RISK SERVICES. INC. OF ILLINOIS HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1000 NORTH MI LWAUKEE AVENUE ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. GLENVIEW , IL 5002E COMPANIES AFFORDING COVERAGE DBA AON RISK INSURANCE SERVICES OF IWNOIS. CA LICENSE NO. 0065en COWAN' AZURICH AMERICAN INSURANCE COMPANY A INSURED COMPANY EMPLOYERS INSURANCE OF WAUSAU A MUTUAL COMPANY B KONE INC. ONE KONE COURT COMPANY MOLINE, IL 61265 C ATTN: LAW DEPARTMENT FAX#: 309-743-5800 meµ,. D THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED 8 Y THE POLICES DESCRIBED HEREIN IS SUSUECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER ILTR POLICYEFFMM MFWTION DATE p RIDI M LIMITS A GENERALLpa&m GLOS242060 01/01i2000 01/01/2005 GENERAL AGGREGATE s 10,000,000 X GORMEW-1ALGENFAALLIASILITY PRODUCTS -COMPIOPAGG s 10,000,000 CLAIMS MADE X OCCUR PERSONAL S ADY INJURY S 10,000,000 OWNERS A CONTRACTOR'S P ROT I EACH OCCURRENCE S 10,000,000 FIRE DAMAGE IMyomfnl f 1,OW,000 MWEXP (AMa PMma) S -0- A AUTOMOBILE LIABILITY BAPS242063 (ADS) 01/01C1000 01101/200` X ANY AUTO TAP8242054 (TX) 01/01/2000 01101 2005 +>r>r SINGLE LMrt $ 2,000,000 ALL OWNED AUTOS BAP9302163(VA) 01lD1I2002 01/01/2MOS BODILY INJURY s SCHEDULED AUTOS ft PMaaAI HIRED AUTOS BODILY INJURY S NON -OWNED AUTOS IPv acaaW) .. PROPERTY DAMAGE f GARAGELABLM AUTO ONLY -E-AACCIDET S ANY AUTO OTHER THAN AUTO ONLY: EACHACCO@R S AGGREGATE S EK'ASS STY EACH OCCURRENCE S tMA61REL A FORM AGGREGATE S OTHER THAN UMBRELLA FORM S A wommrsoolPEMammAND WC8242068(AOS) 01/01/2OW 01101/2005 A EMPLOnRS'LiAIMILIT` WC8242067 (WI) EL EACHACCIDErT s 1,000,000 * PROPAIETa X INCL PARTNERSE%ECU"W ELDISEASE-POLICYLIMIT S 1,000.000 onlrss EXCL EL DISEASE - EA EMPLOYEE S 1,000,000 OTHER B ALL RISK INSTALLATION MJC-691-544190-012 01101/2001 01/0112004 FLOATER OF ITEMS City of Fort Collins #40052097 Various Locations City of Fort Collins SHOULD ANY OF THE ABOW DESCMW POLICES ME CANCELLIE SWORE THE P.O. Box 580 IsPNRARON DATE THE SF. THE IBSMRNO COMPANY wRL ENDEAVOR TO MAR. Fort Collins, CO 8052E 30 DAYS NBBTEM TNOTICE TO THE CER W ATE,HOLDEl NAMED TO TOE LEFT. v;;�rT611rjrUR RwA?=w,R�GS 1MORUASILM OF ANY ION) UPON THE COMPANY. RS AGENTS OR REPRESS TATNES. REPWONVIATINE Or F/C. OF L 1ACOM-2041MOA �OIf 1>AB ,r.r,arnlrrnclmrwl�nunwrnwa>.awT rr., LAW-00-0041 (Rev. 05/03) ACORD P 9 r PRODUCER Serial # 11909 I a ,, DATE (MMIDDlYY) , 09/10/2003 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE AON RISK SERVICES, INC. OF ILLINOIS HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1000 NORTH MILWAUKEE AVENUE ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. GLENVIEW , IL 60025 COMPANIES AFFORDING COVERAGE DBA AON RISK INSURANCE SERVICES OF ILLINOIS, CA LICENSE NO. �-- COMPANY ZURICH AMERICAN INSURANCE COMPANY A 0095323 INSURED COMPANY KONE INC. B -- COMPANY ONE KONE COURT MOLINE, IL 61265 C ATTN: LAW DEPARTMENT FAX#: 309-743-5800 _ COMPANY D THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED B Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICYEFFECTIVE O MD ) PIATIN DATE (MMID LIMITSLTR A GENERAL LIABILITY GL08242060 01/01/2000 01/01/2005 GENERAL AGGREGATE Is 10,000,000 PRODUCTS - COMPIOP AGG $ 10,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE L^ i OCCUR PERSONAL & ADV INJURY $ 1 O,000,OOO EACH OCCURRENCE $ 1 O,000,OOO OWNER'S & CONTRACTOR'S PROT FIRE DAMAGE (Any one fire) $ 1,000,000 MED EXP (Any one person) $ A AUTOMOBILE LIABILITY X ANY AUTO BAP8242063(ADS) TAP8242064 (TX) 01/01/2000 01/01/2000 01/01/2005 01/01/2005 COMBINED SINGLE LIMIT S 2,000,000 ALL OWNED AUTOS BAP9302160 (VA) 01/01/2002 01/01/2005 BODILY INJURY SCHEDULED AUTOS (Per person) BODILY INJURY $ HIRED AUTOS NON-OWNEDAUTOS (Per accident) PROPERTY DAMAGE '$ �—GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ '$ AGGREGATE EXCESS LIABILITY EACH OCCURRENCE $ AGGREGATE _ $ UMBRELLA FORM $ OTHER THAN UMBRELLA FORM A A WORKER'S COMPENSATION AND EMPLOYERS• LIABILITY WC8242066 (AOS) WC8242067(WI) 01/01/2000 01/01/2005 wcSTAI W X TORV LIMITS ER $ 1,000,000 EL EACH ACCIDENT THE PROPRIETOR! X INCL PARTNERS/EXECUTIVE -------------- EL DISEASE -POLICY LIMIT $ 1,000,000 EL DISEASE - EA EMPLOYEE $ 1,000,000 OFFICERS ARE: EXCL OWNE A (R'S & CONTRACTOR'S OCP8242061 01/01/2000 01/01/2005 $1,000,000 PROTECTIVE LIABILITY DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES/SPECIAL ITEMS VARIOUS LOCATIONS KONE INC. #40052097 FORT COLLINS, CO CITY OF FORT COLLINS, COLORADO, ITS OFFICERS, AGENTS AND EMPLOYEES ARE NAMED INSURED ON AN OWNER'S AND CONTRACTOR'S PROTECTIVE LIABILITY POLICY. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE CITY OF FORT COLLINS, COLORADO PO BOX 580 EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, FORT COLLINS, CO 80622 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUT ED REPRESENTATIVE OF ADM RISK SERVICES. INC. OF IL L a � K , U*IFMPROIIKONEINCIKONEIKONE 10.FP3